inspired Tampa Bay the health and wellness magazine of Florida Hospital
fall 2 015
6
Breast CanCer
Myths Busted! Heartburn or Heart attack? know the difference
the secret to
controlling Hunger
+
join the
pink army
FH.F15.cover.1.indd 1
11/4/15 3:55 PM
FHWFR-10062
FH.F15.Welcome.1.indd 1
11/4/15 11:17 AM
“When you have the choice BetWeen Being right and Being kind, just choose kind.”
10 14
In ThIs Issue fall 2015 4-5 8-9 6
12
LocaL update Find out about all the new developments at your local Florida Hospital.
heart attack or heartBurn? It can be hard to tell the difference, so get it checked!
6 Breast cancer Myths Busted Myths about the disease abound. Here’s the real deal.
14
pack heaLthy! Follow these 5 tips to make lunch a nutritious success for your family.
ignore 10 don’t your core Learn 3 key facts for maintaining fitness.
11
protein, expLained A Florida Hospital expert fields key questions.
11
6
fLorida hospitaL (844) 504-9378 | Fall 2015
FH.F15.TOC.REV.indd 1
3
10/22/15 10:37 AM
“i feel 100 percenT beTTer, and have way more energy.” —marie fiSher
Farewell to
150
pounds
Surgery helpS a Tampa woman achieve dramaTic weighT loSS—and regain her life
In baseball terms,
marie Fisher was down to her last strike. Her weight had ballooned to nearly 350 pounds, and she had developed obesityJohn related sleep apnea Dietrick, M.D. on top of her existing asthma. Her pulmonologist asked her if she had thought about weightloss surgery. “He said, ‘I want you to go to a seminar by Dr. Dietrick,’” says Fisher, 46, of tampa. that’s John Dietrick, m.D., a general and bariatric surgeon with Florida Hospital tampa. the hospital has regular seminars supporting
4
the bariatric program. Having tried everything in the book to lose weight, Fisher says, “I needed something drastic.” and when her pre-surgery blood work revealed she was prediabetic, “that would have been my third strike.” Fisher is far from alone in her struggle. more than one-third of U.s. adults—almost 79 million people— are obese. Obesity is related to serious health conditions, including heart disease, stroke, type 2 diabetes and certain types of cancer. not only does this cost the nation an estimated $147 billion in annual medical spending, it also costs people who are obese: they spend on average $1,429 more a year on
their own health care than those of normal weight. For these people, diets are not the answer, says Dr. Dietrick. “Diets are fghting mother nature,” he says. “the body has a survival mechanism that signals us to eat as much as we can whenever we can. If you wonder why two-thirds of americans are overweight or obese, you have to start with the way the body is programmed.” this is why diets have only about a 5 percent chance of lasting success for obese people, and surgery is the best—and often only—option, with a success rate of about 80 percent for that same group. “surgery provides a limitation to
fall 2015 | inSpiredTampabay.com
FHT.F15.weightloss.1.indd 22
10/22/15 10:40 AM
John Dietrick, M.D., using the da Vinci Surgical System.
the volume of food someone can eat at one time, so it provides satiety [the feeling of fullness] earlier than it would come otherwise,” he says. “Another reason surgery works is it is a permanent change. When folks diet they are often successful while on the diet, but the majority of diets are not programs people can continue.” Dr. Dietrick performs most bariatric surgeries using the da Vinci Surgical System. This robotic surgery is quicker, more precise and safer than traditional open surgery, with fewer complications and less pain. Along with technology, though, comes the human touch. Despite the technological advances, Dr. Dietrick is still focused on the patient. “I think our profession is a service to individuals, and I consider it a privilege to perform any procedure for a patient,” he says. Fisher was impressed that Dr. Dietrick wanted her to see a psychiatrist to be sure she was mentally ready to commit to drastic weight loss. “It is a huge change in your life,” she says. She underwent a procedure called sleeve gastrectomy in March 2014. Her stomach was reduced to about one-third its normal size. “The next morning I was drinking fuids, sitting up and walking around, and I went home that night,” she says. She stayed with her dad
for two days, but was home after that and back at work the next week. “I thought I would be in more pain, but I used no medicine after leaving the hospital,” she says. The results have been dramatic. Now down to 207 pounds, she has been off asthma medication for months. Her sleep apnea is greatly reduced and she is no longer prediabetic. There are many non-health benefts as well. “The frst time I could go into a regular store like Macy’s or Walmart and try on size 14 jeans, I sat in the dressing room and cried,” she says. “I hadn’t seen size 14 since junior high.” Thanks to the program’s followup care and support, she also understands how to eat and exercise, which is critical in achieving successful weight loss. “I feel 100 percent better, and have way more energy,” she says. She even signed up for the company’s team in the annual Heart Walk in November; “Before surgery I never would have attempted to walk three miles,” she says. Fisher’s goal is to reach 150 pounds, but she has another objective in mind as well. “I have a deal with my father that when I hit 200 he will take me on a ride on his Harley,” she says. “He even bought my helmet already.”
Upcoming events Florida Hospital Tampa offers Surgical Weight Loss Seminars to educate the public about bariatric weight-loss surgery, explain the treatment options available and help people determine if they are candidates. The seminars are held at the Life Hope Medical Offces, 4th Floor Conference Room, Suite 490, 3000 Medical Park Drive, Tampa. To learn about upcoming seminars, speak with Candie, our bariatric nurse coordinator, at (813) 615-7871. You can also visit yourplacetostart.org and fhtampa.org. florida hospital (844) 504-9378 | Fall 2015
FHT.F15.weightloss.1.indd 23
5
10/22/15 10:41 AM
6
6
breast cancer myths, busted Misconceptions abound—Here’s tHe real deal the se days it seems you almost
need a medical degree to separate fact from fction when it comes to protecting yourself against breast cancer. From controversies over mammograms to questions about reducing one’s risk of the disease, it’s easy to be perplexed. but the truth isn’t really so elusive. here are six misleading statements you may have heard about breast cancer—corrected.
1
“No one in my family had breast cancer, so I won't get it.”
“that’s a common mistake,” says charles cox, m.d., a Florida hospital surgical oncologist, one of the national pioneers of a breast cancer diagnostic technique called sentinel node biopsy. dr. cox also performs genetic research on the disease and trains physicians in china.
fall 2015 | inspiredtaMpabay.coM
FH.F15.breastcancer.2.indd 22
10/22/15 10:38 AM
“There is so much press about the genetic risks of breast cancer that women fgure it is always genetically inherited.” Not so. More than 85 percent of women diagnosed with breast cancer have no family history of the disease, according to the American Cancer Society. But it’s having a frst-degree relative (mother, sister or daughter) with breast cancer that doubles your risk and having two frst-degree relatives increases your risk threefold.
2
“A mammogram can actually cause breast cancer.”
False! When a mammogram is taken, the amount of radiation a woman receives is much too small to cause a malignancy. In fact, it’s less than the amount you’re exposed to on a cross-country fight. “The benefts signifcantly outweigh the risks,” Dr. Cox says. He suggests a baseline mammogram for most women between ages 35 and 40, then annual screenings from age 40 on. “I recommend that women with dense breasts or a history of benign cysts get 3-D mammography, which is available at Florida Hospital,” he adds. “Compared with conventional mammography, it provides almost a 45 percent improvement in cancer detection and a nearly 35 percent reduction in call-backs for more X-rays.”
3
“A cancerous lump feels different from a benign lump.”
“That’s baloney,” Dr. Cox says. “It’s also a myth that if a lump is painful, it isn’t cancer.” It’s true that about 90 percent of cancerous masses are not painful, but some can cause pain, especially if they
grow beyond two centimeters. “There is no way for you to know if it is cancer until there is a biopsy,” he says. “Any lump needs to be evaluated carefully.”
4
“Mammograms are the same wherever you go.”
Not so. “Some women go to different locations for their screenings, doctor visits and treatments, but they can’t be sure of quality and consistency,” says Vijay Ferris, M.D., a general surgeon with Florida Hospital. “Women should go to ACR-accredited breast centers like ours for higher-quality images and a more accurate diagnosis. We screen, perform biopsies, offer counseling—it’s a one-stop shop. Going to a dedicated breast center will give you better results.”
5
“Breast cancer is preventable.”
There is no proven way for healthy women to prevent cancer, but you can reduce your risk. “The best thing to do is exercise,” Dr. Cox says. “A large study shows that walking just 30 minutes a day reduces the risk of breast cancer by 30 percent, and if you already had the disease your risk of recurrence is reduced by 70 percent.” He suggests sticking to a low-fat, high-fber diet to lower the risk of all types of cancer.
6
“If I get breast cancer I will probably die from it.”
On the contrary, says Dr. Cox, “with early screening and detection, 90 percent of breast cancer patients survive.” So be sure to stay up-to-date with your mammograms and do your self exams, he advises.
Where to get your mAmmogrAm Call (855) 808-PINK (7465), to schedule a mammogram at one of these breast centers: Florida Hospital Carrollwood Imaging Center 7171 North Dale Mabry Hwy. Tampa, FL 33614 Florida Hospital North Pinellas Breast Center 1395 S. Pinellas Ave. Tarpon Springs, FL 34689 Florida Hospital Tampa Breast Care Center 3000 Medical Park Dr., Suite 100 Tampa, FL 33613 Florida Hospital Wesley Chapel Center for Women’s Health 2700 Healing Way, Suite 102 Wesley Chapel, FL 33544 Florida Hospital Zephyrhills The Simpson Breast Health Center 7050 Gall Blvd. Zephyrhills, FL 33541
Join the Pink Army
The Florida Hospital Pink Army was created to increase awareness about early detection of breast cancer. The second most common form of cancer found in women, breast cancer is a formidable enemy, but it can be beaten. Join women across Tampa Bay as they get screened and learn more about the lifesaving benefts of annual mammograms and early detection—all while having a great time! Find fun and informative breast cancer awareness events hosted in conjunction with Florida Hospital, and schedule your mammogram online when you visit JoinThePinkArmy.com or call (855) 808-PINK (7465). The most important part of the Pink Army is spreading a lifesaving message to those you love. florida hospital (844) 504-9378 | Fall 2015
FH.F15.breastcancer.2.indd 23
7
10/22/15 10:38 AM
Helping a teen
stand tall
Spine Surgery putS a young athlete back in the game LeAnne And Stephen FuLLer oF LAnd
o’ Lakes were watching their son, Forrest, play soccer about three years ago when they noticed something unusual. “he seemed hunched over, as if he wasn’t confdent,” says LeAnne. She and Stephen were concerned, and when Forrest, then 13, saw his pediatrician for a physical exam, the doctor suggested they see an orthopedic specialist. that doctor
8
diagnosed an abnormal curve in his spine known as Scheuermann’s kyphosis. Kyphosis (pronounced ki-Fo-sis) comes from a Greek word for bending forward, which describes the condition accurately: a pronounced forward bending or rounding of the spine. Scheuermann’s usually afficts children— boys more often than girls—as they approach their teens. there is no known cause, and for
fall 2015 | inSpiredtampabay.com
FHT.F15.forrest.3.indd 22
11/4/15 11:17 AM
“He was recommended by several friends, and we felt really comfortable witH wHat He told us. He Had plenty of time to talk witH us, and He was very tHorougH.”
many children it produces no visited Geoffrey Cronen, M.D., a symptoms and poses no threat. pediatric orthopedic surgeon at More serious cases can result in Florida Hospital Tampa. “He was a progressive deformity that can recommended by several friends, cause discomfort or breathing and we felt really comfortable problems and may require with what he told us,” LeAnne surgery. says. “He had plenty of time to The Fullers took Forrest in for talk with us, and he was very observation every six months, thorough.” —leanne fuller and by the fall of 2014 his “Forrest’s curve was particularly deformity had grown larger, to progressive, and we reached the the point that their orthopedist recommended point where surgery was the only option,” says Dr. corrective surgery. Seeking a second opinion, they Cronen, a member of the Florida Medical Clinic Orthopaedic Surgery Spine and Spinal Deformity Division. The relatively complex surgical procedure required is called posterior spinal fusion, and Dr. Cronen is one of only a handful of surgeons in the state able to perform it. During the surgery, Dr. Cronen makes small cuts in the bone to loosen the deformity, then puts screws and rods into the vertebrae to hold the spine in the proper position. He then carefully places bone grafts that will grow over the implants, making them permanent. The operation originally required people to be put in casts for up to several years and often required multiple surgeries. Now, thanks to modern instrumentation and surgical techniques, patients like Forrest go home in three to four days. Forrest had a very easy recovery from surgery, LeAnne says—“and he was a couple of inches taller, which he liked. When they stood him up in the hospital, it was kind of a shock to see him so straight and tall.” Patients gradually resume normal activities over a month or two, and can do anything they want within six months. Forrest was back at school in three weeks. “He even played basketball for the school team two months after surgery,” LeAnne says. “His coach was pretty nervous, but he had no problems.” Now 16 and a strapping 5-foot, 11-inch high school junior, Forrest will join his high school soccer team this fall. He will continue to follow up with Dr. Cronen to monitor his recovery. Forrest should have no limitations in pursuing his dream, which for now includes college and perhaps Opposite left, Geoffrey studying law enforcement. Cronen, M.D., shows patient Forrest Fuller some of his basketball skills. This page, an X-ray shows Forrest’s spine before surgery.
For more inFormation, call us at (844) 85-ortHo, or visit us online at rangeoFexpertise.com.
florida Hospital (844) 504-9378 | Fall 2015
FHT.F15.forrest.3.indd 23
9
11/4/15 11:17 AM
Don’t ignore
your core
4
top workouts
3 key facts for maintaining fitness YOUR BODY’S CORE PLAYS a crucial role in your health, strength and agility. But if you’re like most people, there are things you may not know:
1 The core is where all your movement comes from. Daily activities such as raking the yard, picking up a child, lifting groceries—any movements of the extremities—start there. “People think the core is just the abs and back muscles,” says Jonathan Phillips, M.D., Florida Hospital sports medicine physician. “They should think of it as the entire pelvic girdle: hamstrings, hip fexors, glutes, abdomen and back.”
2 A weak core could be causing your lower-back problems. If the muscles of your lower back, glutes and even hips are weak, you
10
probably have poor posture. This puts stress on your spine and related muscles, tendons and ligaments. “Often back problems are from poor pelvic stabilization,” Dr. Phillips says. “The spine sits on the pelvis, and support comes from both the muscles and the skeleton.” Weak core muscles fail to support the spinal column properly, which puts stress on the nerves and leads to back pain.
3 Your regular workout is probably not working your core—unless it involves Pilates or a similar exercise. Running doesn’t adequately work the core; nor does lifting weights, cardio-based workouts, most sports activities or even crunches alone. “Many people just focus on their abs, and don’t have a whole picture of what the core is,” says the doctor.
“If you don’t have a balanced approach to strengthening those muscles, you will have defcits that can cause injury.” Fortunately, it’s easy to include core work in your ftness routine. Push-ups, standing squats, planks and balancing on one leg can work the core, as can: Holding a position, as is done in Pilates and in planks, in which the trunk is maintained in a straight, tight position for 10 to 30 seconds or more. Stretching, which increases fexibility and actually strengthens muscles, helping them work in balance. “The hamstrings are especially important— keep them fexible to maintain proper pelvic function,” Dr. Phillips says. Back extension exercises are also useful, but work with a personal trainer or ftness consultant to be sure you do them correctly.
The Harvard Medical School weighed in with its top exercise picks: Walking strengthens bones, heart and lungs; burns calories; helps lower blood pressure and cholesterol; and improves mood and outlook.
Weight training boosts muscle and bone strength and allows you to do more with less strain and pain. SWimming offers a great cardiovascular workout; strengthens arm, leg and core muscles; and doesn’t overstress joints. tai chi is a Chinese martial art that can help build better balance, a stronger heart and a calmer mind. Research indicates that it may also enhance the immune response.
fall 2015 | inspiredtampabay.com
FH.F15.core.3.indd 22
10/22/15 10:38 AM
Protein,
A FLoridA HospitAL expert FieLds Key questions
explained
What do dietary proteins do for the body? almost everything! they build muscles, bones and skin; they help make hemoglobin, the part of red blood cells that carries oxygen throughout the body too. But beware: too much protein is too much of a good thing. Inspired Tampa Bay interviewed adriana Guzman Quiles, Florida hospital clinical dietitian, about this basic food building block: How much protein should we eat? “a healthy diet should have between 30 and 35 percent of its calories from protein. at least 30 percent of that protein should come from legumes (peas, beans and bean products such as tofu).” Can a diet high in protein aid weight loss? “it can, but some studies have shown that weight loss from such diets isn’t sustained in the long run. protein can help make you feel
full so you’ll do less snacking, but emphasizing protein-rich foods to the exclusion of other foods is not recommended. an excess of protein can cause dehydration and kidney problems. For healthy weight loss, you need a reasonable balance of protein, healthy fats and carbohydrates.” What are some protein-rich foods? “Beans, seeds (including quinoa and pumpkin seeds) and nuts are rich in protein. eggs and dairy products such as cheese, milk and yogurt are also great. Meat is another protein source, but the protein in meat comes with saturated fat, and the american heart association recommends getting no more than 5 to 6 percent of your daily calories
from saturated fat. if you decide to have beef occasionally, make sure it’s labeled ‘extra lean.’ sirloin tips, top round roast and top sirloin steak fall in this category, according to the Usda. and watch serving sizes.” I’m glad you mentioned serving sizes. What is a good guide? “one serving of lean meat is two to three ounces, or about the size of a computer mouse.” Is it a good idea to eat protein after a workout? “defnitely. But you can also combine it with a carbohydrate— enjoying a peanut butter smoothie, for example.” What are some other healthy, protein-rich snacks? “i recommend that my patients try cottage cheese with fruit, peanut butter on whole wheat toast, yogurt with nuts such as almonds, or fruit and cheese.”
FLoridA HospitAL (844) 504-9378 | Fall 2015
FH.F15.protein.2.indd 22
11
10/7/15 3:14 PM
Heart attack— or heartburn? It can be hard to tell the dIfference so get It checked
“a heart attack can present Itself In many dIfferent ways. you need to treat any chest paIn serIously.” —alexander rosemurgy, m.d. What We call heartburn has nothing to do With
your heart. it’s really acid refux, a common condition that develops when digestive acids fow out of the stomach, which is designed to handle acid, into the esophagus, which is not. the acid burns, and because the esophagus and heart are close neighbors, the resulting pain in the chest is often mistaken for heart pain. sometimes people think they are having a heart attack and rush to the emergency room. the opposite mistake is also made: People experiencing angina—heart pain—think it’s just acid indigestion and fail
12
to rush to the emergency room. and that can be a big problem. doctors at Florida hospital see both kinds of situations in tampa bay, and it’s important for you to know what to do in the event of chest pain. in fact, it can make a life-ordeath difference. so if you’re having chest pain of any kind, don’t let embarrassment or uncertainty stop you. go to an emergency room and get checked out. in 2014, Florida hospital handled more than 200,000 emergency room visits in the tampa bay area. the er physicians in these hospitals are all board-certifed in
fall 2015 | InspIredtampabay.com
FH.F15.hearthealth.2.indd 22
10/22/15 10:39 AM
Emergency Medicine, but even they have to do formal tests to make a formal diagnosis. The reason has to do with basic anatomy. The nerves in your chest are distributed in such a way that it is diffcult to determine where the pain is coming from, says Wenzel Tirheimer, M.D., Florida Hospital Medical Director at one of the largest Emergency Departments in Tampa Bay. Pain from many points of origin—including the appendix, the gallbladder and the rest of the gastrointestinal tract—may appear in different locations in different people and therefore can be hard to pin down without further testing. “The symptoms of multiple medical problems are often related and overlap,” Dr. Tirheimer explains.
MANY KINDS OF CHEST PAIN There is a distinct diagnosis called noncardiac angina, or chest pain not due to heart problems. “This is a real identifable issue,” says Alexander Rosemurgy, M.D., a nationally recognized gastrointestinal surgeon specializing in minimally invasive and robotic surgery at Florida Hospital. It has other possible causes besides acid refux, such as esophageal spasm, pneumonia or some types of ulcers. But they can all feel like cardiac discomfort. “Even people who have had a heart attack often can’t distinguish the difference,” says Dr. Rosemurgy. These two physicians in different felds
agree about the importance of getting chest pain checked out right away. “A heart attack can present itself in many different ways,” Dr. Rosemurgy says. “You need to treat any chest pain seriously.”
DON’T JUST WAIT That means calling 911 or having someone else drive you to an ER. “Go and be seen by a doctor rather than sitting home waiting and hoping,” Dr. Tirheimer says. “If it is a heart attack, the faster you’re treated, the better your odds of a full recovery.” Conversely, learning that your pain is not heart-related will be a huge relief. “If I can tell a patient, ‘It seems more like your stomach or gallbladder, and not anything life-threatening,’ that’s a big reduction in their anxiety level,” Dr. Tirheimer says. Once a heart problem is ruled out, doctors can fnd out what is causing the pain. Tests depend on the symptoms, health history, age and other factors. Some patients are admitted to the hospital for observation and further testing, while others are sent home with follow-up instructions. But stay attuned to your symptoms. “If your frst doctor doesn’t see anything and you go home but feel worse, come back,” Dr. Tirheimer says. “Sometimes it isn’t until later that a disease declares itself.” Your frst move with chest pain should be to seek immediate medical attention. Says Dr. Rosemurgy: “It’s always better to be safe than sorry.”
Heart attack can be different in women As with men, the most common heart attack symptom in women is chest pain or discomfort. But, according to the American Heart Association, women are more likely than men to experience other symptoms, including: l shortness of breath l pressure or pain in the lower chest or upper abdomen l dizziness, lightheadedness or fainting l upper back pressure l nausea, cold sweat or vomiting l extreme fatigue. Unfortunately, women often delay getting attention for themselves. In fact, the AHA also reports that 81 percent of women said they would call 911 for someone else showing heart-attack signs, while only 65 percent would call for themselves.
How to AvOID rEFlux If your chest discomfort turns out to be heartburn rather than a cardiac problem, that’s a relief, because heartburn is much less dangerous. But it’s still troublesome, as reflux (GERD) can lead to esophageal cancer. Try these simple steps to reduce the occurrence of acid reflux: l Avoid alcohol, cigarettes, aspirin/anti-inflammatories and citrus. l Raise the head of your bed about six inches; this lets gravity help keep your stomach acids down. l Don’t eat close to bedtime or late at night. l Try some over-the-counter antacids. If symptoms persist, see your doctor. Source: American Heart Association florida hospital (844) 504-9378 | FAll 2015
FH.F15.hearthealth.2.indd 23
13
11/4/15 2:05 PM
Pack healthy! 5 tips to make lunch a nutritious success for your family
For many parents, the hostess twinkie’s return
to the marketplace sparked a smile of nostalgia—and a frown of concern. we may recall that spongy treat from our own childhoods, but it’s not on our nutrition plan for our children—or ourselves, for that matter. But don’t despair: when it’s time to pack a lunch, for yourself or your family, a creative approach can put healthy eating on the midday agenda:
1
MAKE IT FUN FOR KIDS. if children see a healthy lunch as something enjoyable, says megen erwine, a Florida hospital registered dietitian/nutritionist, they will be more apt to eat it. “kids get bored easily,” says erwine. “try approaching the same meal in different shapes or in different containers.” During the school year, perhaps your picky eater will enjoy selecting a special lunch box featuring a favorite superhero. trade in aluminum foil for small tupperware containers. as for the lunch itself, erwine suggests preparing food in fun shapes. “kids love bite-size items, so use cookie cutters to cut sandwiches,” she says. and make the lunch colorful, with bright fruits and veggies such as cherry tomatoes, grapes and carrot strips.
2
BE A GOOD ROLE MODEL. the “do as i say, not as i do” model of parenthood is as obsolete as the 8-track. “Lunch is the most overlooked meal by most people i talk with—our busy lives make it problematic,” erwine says. “as adults we need to spend more time to create healthy lunches for ourselves.” and that doesn’t just mean eating more spinach. she suggests aiming to include foods from four food groups at each lunch: whole grains, veggies-and-fruits, dairy and protein. “try to include about 10 grams of fber and 15 grams of protein in adult lunches,” she says. “that should provide plenty of energy to sustain you all afternoon.”
3
USE A GRADUAL APPROACH. Let’s face it: if kids reject a food at home, they’re sure as heck not going to eat it from a brown bag when they’re beyond your gaze at school. erwine recommends introducing an unfamiliar food at home several times, in small amounts,
14
before adding it to a packed lunch. Don’t give up if a child discards a new food at frst. “research shows that kids need to be exposed to a new food up to 20 times before they even try it, let alone like it,” she says. “so consistency is important.”
4
SEEK BALANCE. aim to include the four food groups as you pack a lunch, and emphasize fruits and veggies over meats and cheeses—the latter are nutritionally important, but tend to be overrepresented on our plates. “we forget that we need vegetables more often than just at dinner,” erwine says. make veggies more fun with healthy dips, like hummus or ranch dip made with Greek yogurt, to dip your carrots and celery.
5
PROMOTE SMART SNACK FOODS. new government standards took effect in the 2014–15 school year for snack foods sold in school vending machines and a-lacarte cafeteria lines. Doughnuts, candy bars, high-fat chips and sugar-flled sodas are gone, while granola bars, light popcorn, low-fat chips and fruit cups are now favored. add foods from two specifc food groups, erwine suggests, such as celery with peanut butter or veggies with guacamole.
FALL 2015 | inspiredtampabay.com
FH.F15.packlunches.1.indd 22
10/22/15 10:40 AM
When you believe in a greater purpose to health care, you see things differently. Because health care isn’t only about illness and injury, or even medicine. It’s about the human spirit. Which is why for over a century, Florida Hospital has gone beyond symptoms and treatments, helping people live healthier, happier lives. This is more than quality, expertise and compassion.
Discover the Florida Hospital difference at InspiredTampaBay.com
Florida Hospital
015_INSPIRED_FALL15.indd 1
|
Centra Care Urgent Care
|
Locations Throughout Tampa Bay Florida Hospital Physician Group
10/21/15 10:05 AM
FLORIDA HOSPITAL TAMPA 3100 EAST FLETCHER AVENUE TAMPA, FLORIDA 33613
Discover the Florida Hospital difference at InspiredTampaBay.com Connerton Zephyrhills
FLORIDA HOSPITAL WEST FLORIDA REGION Florida Hospital proudly serves the Tampa Bay Region through a network of 6 hospitals, 4 Centra Care Urgent Care Centers and more than 45 Florida Hospital Physician Group practices.
1
Wesley Chapel
North Pinellas
Tampa 275
Carrollwood
Florida Hospital Carrollwood
2 Florida Hospital Connerton, Long Term Acute Care 3 Florida Hospital North Pinellas 4 Florida Hospital Tampa
Tampa Bay
5 Florida Hospital Wesley Chapel 275
FHWFR-10098
6 Florida Hospital Zephyrhills
016A_INSPIRED_FALL15.indd 2
11/4/15 9:45 AM